Marcia A Koelndorfer, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

34003882A Issued in IN

Practice address

14887 State Road 23
Ste 3
Granger, IN 46530-5629

Phone

(574) 232-2255

Fax

(574) 232-8968

NPI assigned

Oct 13, 2005

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in IN

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Clinical Social Worker

Education

Other, 1997

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Marcia Koelndorfer Counseling, LLC

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Granger, IN
  • NPI 1689154742
  Medicare reassignment NPD Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1129161600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1534982400000",
    "number": "1215926142",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "52305 WOOD HAVEN CT",
            "city": "GRANGER",
            "state": "IN",
            "postal_code": "465305612",
            "telephone_number": "574-387-5598"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14887 STATE ROAD 23",
            "address_2": "STE 3",
            "city": "GRANGER",
            "state": "IN",
            "postal_code": "465305629",
            "telephone_number": "574-232-2255",
            "fax_number": "574-232-8968"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KOELNDORFER",
        "first_name": "MARCIA",
        "middle_name": "A",
        "name_prefix": "Mrs.",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-10-13",
        "last_updated": "2018-08-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "IN",
            "license": "34003882A",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM",
            "identifier": "000000389244",
            "state": "IN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNICARE",
            "identifier": "000000389244",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Jenna Michele Kimminau, LSW
• Daniel Gerard Klauer, DDS
• Philip Kline, R.PH.
• Ellen Klinedinst, MA EDS
• Amy Wolfe Knauff, MA CCC/SLP
• Sarah Ann Kolacz, NP
• Walter Douglas Kolmodin, DPM
• Gage Michael Koon, OD
• Payal Koul-Kumar, PT
• Hannah Kovac

• Clinical Social Worker in Granger, IN
• Providers in Granger, IN by specialty
• Clinical Social Worker in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 23, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.